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1417535717
KARISSA M HAGEN
COLUMBIA, SC
NPI
1417535717
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Former Name
KARISSA M NOFFKE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: SC 24338)
Enumeration Date
2021-03-30
Last Update Date
2021-07-20
Business Address
KARISSA M HAGEN NP
14 MEDICAL PARK DRIVE SUITE 320
COLUMBIA, SC 29203
Phone number: 803-434-6771
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Mailing Address
KARISSA M HAGEN NP
PO BOX 743904
ATLANTA, GA 30374-3904
Phone number: 803-296-7320
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